Programs and services to prevent pregnancy, childbearing, and poor birth outcomes among adolescents in rural areas of the Southeastern United States

Loda, Frank A.; Speizer, Ilene S.; Martin, Kerry L.; Skatrud, Julia DeClerque; Bennett, Trevor

doi:10.1016/s1054-139x(97)00048-7

Cited by 11 publications

(10 citation statements)

References 8 publications

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“…Pregnancy prevention programs that are made available to nonmetropolitan teenagers need to address issues that are particular to nonmetropolitan areas such as social and cultural isolation, high rates of unemployment and poverty, poor housing, family disruption, confidentiality concerns, and lack of economic opportunities (Loda et al 1997; Skatrud et al 1998). In addition, nonmetropolitan communities typically do not have the wide range of resources and funding sources that are often found in urban areas (Loda et al 1997; Skatrud et al 1998).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, nonmetropolitan communities typically do not have the wide range of resources and funding sources that are often found in urban areas (Loda et al 1997; Skatrud et al 1998). Therefore, special attention will need to be paid to finding creative ways to raise money for these efforts, as well as to find more efficient ways to work with existing resources in nonmetropolitan counties.…”

Section: Discussionmentioning

confidence: 99%

“…Most importantly, there is a lack of multiple forms of health services (e.g., family planning clinics, family physicians, obstetricians, and gynecologists) available in nonmetropolitan areas (Loda et al 1997). In addition, when compared to metropolitan teenagers, rural teenagers have more confidentiality concerns, have minimal public transportation options, and have to travel long distances to family planning clinics (Skatrud et al 1998).…”

Section: Research Frameworkmentioning

confidence: 99%

“…Limited information is available about teenage pregnancy and childbearing in rural areas (Loda et al 1997), even though approximately 20 percent of the nation’s youth live in rural areas (Economic Research Service 2005). Most of the previous research on teenage pregnancy has concentrated on teenage pregnancy prevention, with very few studies that have compared the teenage birth rate (TBR) across states (Crosby and Holtgrave 2006), and no nationally representative studies that provide pregnancy or birth rates for teenagers living in nonmetropolitan 1 areas (Skatrud, Bennett and Loda 1998).…”

Section: Introductionmentioning

confidence: 99%

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Residence and teenage birth rates: A potential non-stationary process in US counties

Shoff¹,

Yang²

2012

DemRes

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BACKGROUND Limited information is available about teenage pregnancy and childbearing in rural areas, even though approximately 20 percent of the nation’s youth live in rural areas. Identifying whether there are differences in the teenage birth rate (TBR) across metropolitan and nonmetropolitan areas is important, because these differences may reflect modifiable ecological-level influences such as education, employment, laws, healthcare infrastructure, and policies that could potentially reduce the TBR. OBJECTIVES The goals of this study are to investigate whether there are spatially varying relationships between the TBR and the independent variables, and if so, whether these associations differ between metropolitan and nonmetropolitan counties. METHODS We explore the heterogeneity within metropolitan/nonmetropolitan county groups separately using geographically weighted regression (GWR), and investigate the difference between metropolitan/nonmetropolitan counties using spatial regime models with spatial errors. These analyses were applied to county-level data from the National Center for Health Statistics and the US Census Bureau. RESULTS GWR results suggested that non-stationarity exists in the associations between TBR and determinants within metropolitan/nonmetropolitan groups. The spatial regime analysis indicated that the effect of socioeconomic disadvantage on TBR significantly varied by the metropolitan status of counties. CONCLUSIONS While the spatially varying relationships between the TBR and independent variables were found within each metropolitan status of counties, only the magnitude of the impact of the socioeconomic disadvantage index is significantly stronger among metropolitan counties than nonmetropolitan counties. Our findings suggested that place-specific policies for the disadvantaged groups in a county could be implemented to reduce TBR in the US.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Research Frameworkmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Residence and teenage birth rates: A potential non-stationary process in US counties

Shoff¹,

Yang²

2012

DemRes

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“…The training of psychosocial competence may help adolescents to deal with these concerns better. Loda (21) has pointed that the approach of psychosocial competence training is based on the belief that if adolescents think they can succeed, or if they have the motivation to perform better. Therefore, whether the adolescents are inclined to internal locus of control after training is the focus of this approach.…”

Section: Discussionmentioning

confidence: 99%

Rebuilding psychosocial competence for unmarried adolescent pregnancies using an integrated intervention

Yu¹,

Wei²,

Lu-xia³

2010

International Journal of Adolescent Medicine and Health

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This study was designed to investigate effects of an integrated intervention on psychosocial competence after abortion in unmarried adolescent pregnancies. Study Group: Three hundred eighty-five unmarried adolescent pregnancies aged 15 to 24 years (75.1% employed, 24.9% students) were recruited in the study, of which 190 were allocated into the experimental group and the rests as controls. Methods: The Rosenberg Self-esteem Scale (SES), the shortened version of Tyler's Behavioral Attributes of Psychosocial Competence Scale-Condensed Form (BAPC-C) and the Nowicki-Stricland InternalExternal Locus of Control Scale (NSIE-LOC) were applied to measure self-esteem, coping style, and LOC. Questionnaires were simultaneously administered with abortion service and two-months after intervention. The intervention was organized by an interactive and participatory model designed to increase self-awareness and improve ability of coping under stress with a purpose of reducing occurrence of repeat pregnancy and abortion. Results: Our data showed noticeable changes in coping style and LOC in the experimental group, except for self-esteem ability when comparing with the controls. Conclusion: The psychosocial competence was significantly improved after receiving the intervention. Our study indicates that appropriate psychological intervention for unmarried adolescent pregnancies is necessary to rebuild their normal life after the strike.

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Physicians as Double Agents

Shortell¹,

Waters²,

Clarke³

et al. 1998

JAMA

143

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Programs and services to prevent pregnancy, childbearing, and poor birth outcomes among adolescents in rural areas of the Southeastern United States

Cited by 11 publications

References 8 publications

Residence and teenage birth rates: A potential non-stationary process in US counties

Residence and teenage birth rates: A potential non-stationary process in US counties

Rebuilding psychosocial competence for unmarried adolescent pregnancies using an integrated intervention

Physicians as Double Agents

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